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Study of Disability In Arkansas

Study of Disability In Arkansas. Presented by: Neha Thakkar Arkansas Center for Health Statistics Arkansas Department of Health With lot of help from: Shalini Manjanatha. What is BRFSS?. B ehavioral R isk F actor S urveillance S ystem

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Study of Disability In Arkansas

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  1. Study of Disability In Arkansas Presented by: Neha Thakkar Arkansas Center for Health Statistics Arkansas Department of Health With lot of help from: Shalini Manjanatha

  2. What is BRFSS? • Behavioral Risk Factor Surveillance System • World’s largest continuously ongoing telephonic survey • Centers for Disease Control and Prevention (CDC) support • Currently being conducted in all the 50 states and US territories

  3. BRFSS in the U.S., 1984 Montana Minnesota Wisconsin Idaho Rhode Island Ohio Illinois Utah Indiana West Virginia California North Carolina Tennessee South Carolina

  4. BRFSS in the U.S., 1997 Washington Vermont Maine Montana North Dakota Minnesota Oregon New Hampshire Wisconsin Idaho South Dakota Massachusetts New York Wyoming Michigan Rhode Island Connecticut Pennsylvania Iowa Nebraska New Jersey Nevada Ohio Delaware Utah Indiana Illinois West Virginia District of Columbia Colorado California Maryland Kansas Virginia Missouri Kentucky North Carolina Tennessee Arkansas Arizona Oklahoma South Carolina New Mexico Alabama Georgia Texas Mississippi Louisiana Florida Alaska Guam Puerto Rico Virgin Islands Hawaii

  5. Questionnaire & Sample • Consists of 1) core questions 2) sponsored modules 3) state-added questions • Sample: Randomly selected resident telephone number and randomly selected adult in the household (Stratified Random Sample)

  6. Contents of BRFSS • Health status, Health care access, Exercise, Environmental factors, Tobacco Usage, Alcohol Consumption, Diabetes, Asthma, Arthritis, Oral Health, Disability, HIV /AIDS, Family Planning, Women’s Health etc.

  7. Limitation of the Data • Due to the small sample size, the analysis is done combining four years of data rather than for each year separately. Due to this, providing a trend line for risk factors is not possible. • Total Disability is considered to be the base to calculate the various risk factors.

  8. Criteria for being called Disabled • During 1998-2000 the disability was defined based on respondents answering “Yes” to at least one of the following questions: • Are you limited in the kind or amount of work you can do because of any impairment or health problem? • Because of any impairment or health problem, do you have any trouble learning, remembering, or concentrating? • Do you use special equipment or help from others to get around? • Are you limited in any way in any activities because of any impairment or health problem?

  9. Criteria for being called Disabled • During 2001 the disability definition changed. Any respondent answering “Yes” to any of the following questions would be considered to be disabled: • Are you limited in any way in any activities because of physical, mental or emotional problem? • Do you now have any health problem that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?

  10. Disability in Arkansans - Demographics • About 25.8% Arkansas adults are disabled, which is approximately 668,350 people from the total adult population • 11.62% - Male and 14.18% Female • Age 50-59 with highest disability rate • Higher rate of disability among people with lower education, lower household income and unemployment (partly due to higher proportion of elderly in these groups) • Major impairment was back and neck problems ~ 19.5%

  11. Socio-Demographic Characteristics With Disability (%) Without Disability (%) All Persons (Age  18) 25.8 74.2 Age 18-64 21.1 78.9 65+ 45.9 54.1 Gender Male 24.5 75.5 Female 26.9 73.1 Education Less than H.S 46.8 53.2 H.S Grad 24.9 75.2 Some College 22.6 77.4 College Grad 16.9 83.1 Income < $15,000 50.7 49.3 $15-24,999K 31.0 69.0 $25-49,999K 20.0 79.9 $50-74,999K 14.4 85.6 $ 75,000K 12.7 87.3 Disability- Demographic Characteristics

  12. Disability – General Health

  13. Disability – Diabetes • Out of 25.8% disabled respondents, 15.1% reported to have diabetes also.

  14. Disability –Asthma • Out of 25.8% disabled respondents, 17.4% reported to have asthma also.

  15. Disability – Health Care Coverage • Out of 25.8% disabled respondents, 15.2% reported to have no health care coverage.

  16. Disability – Overweight and Obese • Out of 25.8% disabled respondents, 36% reported to have BMI >= 25.

  17. Disability – Tobacco Use (Smoking) • Out of 25.8% people with disability 28.1% of people reported to be current smokers.

  18. Disability – Social/Emotional Support • 87% of people with Disability reported to receive social/emotional support.

  19. Male Female With Disability Very/Satisfied 21.9% 23.8% Very/Dissatisfied 2.4% 3.1% Without Disability Very/Satisfied 73.5% 70.3% Very/Dissatisfied 2.2% 2.7% Disability – LifeSatisfaction Level

  20. Total Male Female Need help with personal Care 10.46% 4.09% 6.38% Do not need help with personal care 89.54% 40.87% 48.67% Need help with routine care 27.74% 9.09% 18.63% Do not need help with routine care 72.26% 35.78% 36.5% Disability –Help needed for personal and routine care • Disabled people needing help with their personal and routine care

  21. 1-14 Days 15-30 Days None Days Spent with feeling of pain 23.09% 32.58% 44.33% Days felt stressful 35.17% 27.44% 37.40% Days felt restless and sleepless 32.46% 33.13% 34.41% Days felt healthy and energetic 26.21% 41.63% 32.16% Disability – Quality of Life

  22. Disability – Women’s Health • Women who had a mammogram within last two years

  23. Disability – Women’s Health • Women who had a Pap smear within last three year

  24. Disability in Arkansas • Partners for Inclusive Communities –Disability program has been participating in data collection activities since 1998 • For 2003 and 2004 Disability modules have been sponsored to obtain the data on disability of Arkansans • We will continue to collect the information on Disability status

  25. Questions asked in 2003 Q: 1 What is the farthest distance that you can walk by yourself, without any special equipment or help from others? 1. Not any distance 2. Across a small room 3. About the length of a typical house 4. About one or two city blocks 5. About one mile 6. More than one mile 7. DON'T KNOW/NOT SURE 9. REFUSED Q:2 Because of any impairment or health problem, do you need the help of other persons with your personal care needs, such as eating, bathing, dressing, or getting around the house? 1. YES 2. NO 7. DON'T KNOW/NOT SURE 9. REFUSED

  26. Questions asked in 2003 Q: 3 Because of any impairment or health problem, do you need the help of other persons in handling your routine needs, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes? 1. YES 2. NO 7. DON'T KNOW/NOT SURE 9. REFUSED Q: 4 In general, how satisfied are you with your life? 1. Very satisfied 2. Satisfied 3. Dissatisfied 4. Very dissatisfied 7. DON'T KNOW/NOT SURE 9. REFUSED

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